阳主四肢。经云∶四肢者，诸阳之本也。又云∶阳受气于四肢是也。阳实则肢肿。经云∶结阳肿
四肢是也。阳虚则肢满。经云∶冬气满在四肢是也。脾主四肢。经云∶四肢皆禀气于胃，而不得至经，
必因于脾，乃得禀者是也。脾实则四肢不举。经云∶脾脉太过为病，在外则令人四肢不举者是也。脾
虚则四肢不用。经云∶脾脏
肉，形不足则四肢不用。又云∶四肢懈惰，此脾精之不行是也。治见痿及中风。五脏有邪，留在支节。
经云∶肺心有邪，其气留于两肘；肝有邪，其气留于两股；脾有邪，其气留于两髀；肾有邪，其气留
于两膝是也。治见痛痹。运气四肢不举，皆属湿。经云∶土太过曰敦阜，敦阜之纪，其病腹满，四肢
不举是也。
《灵枢》经筋篇云∶足太阳之筋，起于足小指，上结于踝，邪上结于膝，其下循足外侧结于踵，上
循跟，结于 。其别者，结于 外，上 中内廉，与 中并上结于臀，上挟脊上项。其支者，别入结
于舌本。其直者，结于枕骨，上头下颜结于鼻。其支者，为目上纲，下结于 （音求）。其支者，从
腋后外廉，结于肩 。其支者，入腋下，上出缺盆，上结于完骨。其支者，出缺盆，邪上出于 。其
病小指支跟肿痛， 挛，脊反折，项筋急，肩不举，腋支缺盆中纽痛，不可左右摇。治在燔针劫刺，
以知为数，以痛为 ，名曰仲春痹。足少阳之筋，起于小指次指，上结外踝，
上循胫外廉，结于膝外廉。其支者，别起外辅骨，上走髀，前者结于伏兔之上，后者结于尻。其直者，
上乘 季胁，上走腋前廉，系于膺乳，结于缺盆。直者上出腋，贯缺盆，出太阳之前，循耳后，上额
角，交巅上，下走颔，上结于 。支者结于目 为外维。其病小指次指支转筋，引膝外转筋，膝不可
屈伸， 筋急，前引髀，后引尻，即上乘 季胁痛，上引缺盆、膺、乳、颈维筋急。从左之右，右目
不开，上过右角，并跷脉而行，左络于右，故伤左角，右足不用，命曰维筋相交。治在燔针劫刺，以
知为数，以痛为 ，名曰孟春痹也。足阳明之筋，起于中三指，结于跗上，邪外上加于辅骨，上结于
膝外廉，直上结于髀枢，上循胁属脊。其直者，上循 ，结于膝。其支者，结于外辅骨，合少阳。其
直者，上循伏兔，上结于髀，聚于阴器，上腹而布，至缺盆而结，上颈，上挟口，合于 ，下结于鼻，
上合于太阳，太阳为目上纲，阳明为目下纲。其支者，从颊结于耳前。其病足中指支胫转筋，脚跳坚，
伏兔转筋，髀前肿， 疝，腹筋急，引缺盆及颊，卒口僻，急者目不
合，热则筋纵，目不开。颊筋有寒，则急引颊移口；有热则筋弛纵缓，不胜收故僻。治之以马膏，膏
其急者，以白酒和桂，涂之其缓者，以桑钩钩之，即以生桑灰置之坎中，高下以坐等，以膏熨急颊，
且饮美酒，啖美炙肉，不饮酒者，自强也，为之三拊而已。治在燔针劫刺，以知为数，以痛为 ，名
曰季春痹也。足太阴之筋，起于大指之端内侧，上结于内踝。其直者，络于膝内辅骨，上循阴股，结
于髀，聚于阴器，上腹结于脐，循腹里结于肋，散于胸中。其内者，着于脊。其病足大指支内踝痛，
转筋痛，膝内辅骨痛，阴股引髀而痛，阴器纽痛，上引脐两胁痛，引膺中脊内痛。治在燔针劫刺，以
知为数，以痛为输，名曰孟秋痹也。足少阴之筋，起于小指之下，并足太阴之筋，邪走内踝之下，结
于踵，与太阳之筋合，而上结于内辅之下，并太阳之筋，而上循阴股，结于阴器，循脊内夹膂，上至
项，结于枕骨，与足太阳之筋合。其病足下转筋，及所过而结者皆痛及转筋，病在此者主痫螈及痉，
在外者不能俯，在内者不能仰。故阳病者腰反折不能俯，阴病者不能仰。治在燔针
劫刺，以知为数，以痛为输。在内者，熨引饮药。此筋折纽，纽发数甚者，死不治，名曰仲秋痹也。
足厥阴之筋，起于大指之上，上结于内踝之前，上循胫，上结内辅之下，上循阴股，结于阴器，络诸
筋。其病足大指支内踝之前痛，内辅痛，阴股痛转筋，阴器不用，伤于内则不起，伤于寒则阴缩入，
伤于热则纵挺不收。治在行水清阴气。其病转筋者，治在燔针劫刺，以知为数，以痛为输，名曰季秋
痹也。手太阳之筋，起于小指之上，结于腕，上循臂内廉，结于肘内锐骨之后，弹之应小指之上，入
结于腋下。其支者，后走腋后廉，上绕肩胛，循颈出走太阳之前，结于耳后完骨。其支者，入耳中。
直者，出耳上，下结于颔，上属目外 。其病小指支肘内锐骨后廉痛，循臂阴入腋下，腋下痛，腋后
廉痛，绕肩胛引颈而痛，应耳中鸣痛引颔，目瞑良久乃得视，颈筋急则为筋 颈肿。寒热在颈者，治
在燔针劫刺之，以知为数，以痛为输。其为肿者，复而锐之。本支者，上曲牙，循耳前，属目外 ，
上颔结于角。其痛当所过者支转筋。治在燔针劫刺，以知为数，以痛为输，名曰仲夏痹也。手少阳之
筋，起于小指次指之端，结于腕，上循臂结于肘，上绕 外廉，上肩走颈，合手太阳。其支者，当曲
颊入系舌本。其支者，上曲牙，循耳前，
属目外 ，上乘颔结于角。其病当所过者即支转筋，舌卷。治在燔针劫刺，以知为数，以痛为输，名
曰季夏痹也。手阳明之筋，起于大指次指之端，结于腕，上循臂，上结于肘外，上 结于 。其支者，
绕肩胛挟脊，直者从肩 上颈。其支者，上颊结于 。直者，上出手太阳之前，上左角，络头，下右
颔。其病当所过者支痛及转筋，肩不举，颈不可左右视。治在燔针劫刺，以知为数，以痛为输，名曰
孟夏痹也。手太阴之筋，起于大指之上，循指上行，结于鱼后，行寸口外侧，上循臂，结肘中，上
内廉，入腋下，出缺盆，结肩前 ，上结缺盆，下结胸里，散贯贲，合贲下，抵季胁。其病当所过者
支转筋，痛甚成息贲，胁急吐血。治在燔针劫刺，以知为数，以痛为输，名曰仲冬痹也。手心主之筋，
起于中指，与太阴之筋并行，结于肘内廉，上臂阴，结腋下，下散前后挟胁。其支者，入腋散胸中，
结于臂。其病当所过者支转筋，前及胸痛息贲。治在燔针劫刺，以知为数，以痛为输，名曰孟冬痹也。
手少阴之筋，起于小指之内侧，结于锐骨，上结肘内廉，上入腋，交太阴，挟乳里，结于胸中，循臂
，下系于脐。其病内急，心承伏梁，下为肘网。其病
当所过者支转筋，筋痛。治在燔针劫刺，以知为数，以痛为输。其成伏梁唾血脓者，死不治。经筋之
病，寒则反折筋急，热则筋弛纵不收，阴痿不用，阳急则反折，阴急则俯不伸。 刺者，刺寒急也。
热则筋纵不收，无用燔针。名曰季冬痹也。足之阳明，手之太阳，筋急则口目为劈， 急不能卒视，
治皆如上方也。形乐志苦，病生于筋，治之以熨引。诸筋病皆属于节。经云∶诸筋者，皆属于节。又
云∶手屈而不伸者，病在筋是也。肝主诸筋。经云∶肝主筋。又云∶在脏为肝，在体为筋。又云∶酸
生肝，肝生筋，筋生心是也。筋病忌风，忌食酸辛，忌久行。经云∶风伤筋，燥胜风，酸伤筋，辛胜
酸。又云∶酸走筋，筋病无多食酸。又云∶多食辛则筋急而爪枯。又云∶久行伤筋是也。
阳气主管四肢。《内经》说：四肢是诸阳经的根本。又说：阳气在四肢受纳精气，就是这个道理。阳气实盛则肢体肿胀。《内经》说：阳气结滞于四肢导致肿胀，就是这个意思。阳气虚衰则肢体胀满。《内经》说：冬季的寒气使四肢胀满，就是这个意思。脾脏主管四肢。《内经》说：四肢都依赖胃气滋养，但胃气不能直接到达经脉，必须通过脾脏转输，才能布散到四肢，就是这个道理。脾脏实盛则四肢不能举动。《内经》说：脾脉太过致病，在外表现为让人四肢不能举动，就是这个意思。脾脏虚衰则四肢不能运用。《内经》说：脾脏对应肌肉，形体虚弱则四肢不能运用。又说：四肢懈怠懒惰，这是脾精不能运化的表现。治疗方法见痿证和中风篇。五脏有邪气，停留在肢节。《内经》说：肺心有邪气，其气停留在两肘；肝有邪气，其气停留在两股（大腿）；脾有邪气，其气停留在两髀（大腿内侧或胯部）；肾有邪气，其气停留在两膝，就是这个意思。治疗方法见痛痹篇。运气学说中四肢不能举动，都属于湿邪。《内经》说：土气太过称为敦阜，敦阜之年，疾病表现为腹部胀满，四肢不能举动，就是这个意思。
《灵枢·经筋》篇说：足太阳经筋，起于足小趾，向上结聚于踝部，斜向上结聚于膝部，其下行部分沿足外侧结聚于脚跟，向上沿跟腱，结聚于腘窝（此处原文缺字，通常指腘中）。其分支，结聚于腘窝外，向上沿腘窝内廉，与腘窝中并上行结聚于臀部，向上挟脊柱上至项部。其支脉，别行结聚于舌根。其直行者，结聚于枕骨，上头下至颜面结聚于鼻。其支脉，为目上睑纲维，向下结聚于目下（此处原文缺字，通常指目匡）。其支脉，从腋后外缘，结聚于肩髃穴。其支脉，入腋下，上出缺盆，上结聚于完骨。其支脉，出缺盆，斜向上出于耳上角。其病表现为小趾支撑脚跟肿痛，腘窝拘挛，脊柱反折，项部筋脉紧急，肩部不能举，腋部支撑缺盆中牵拉痛，不能左右摇动。治疗用燔针劫刺，以见效为度，以痛点为腧穴，名叫仲春痹。足少阳经筋，起于第二趾，向上结聚于外踝，沿小腿外缘上行，结聚于膝外缘。其支脉，别起于腓骨，向上走大腿，前侧结聚于伏兔之上，后侧结聚于尻部。其直行者，上乘季胁，向上走腋前缘，系于胸乳，结聚于缺盆。直行者上出腋下，贯穿缺盆，出于足太阳经之前，沿耳后，上至额角，交于头顶，向下走至下颌，上结聚于目外眦。支脉结聚于目外眦作为外维。其病表现为第二趾支撑转筋，牵引膝外侧转筋，膝不能屈伸，腘窝筋脉紧急，前引大腿，后引尻部，即上乘季胁疼痛，上引缺盆、胸、乳、颈维筋紧急。从左向右病变，右眼不能睁开，上过右角，并与跷脉并行，左络于右，所以损伤左角，右足不能运用，名叫维筋相交。治疗用燔针劫刺，以见效为度，以痛点为腧穴，名叫孟春痹。足阳明经筋，起于中三趾，结聚于足背，斜向外上加于辅骨，向上结聚于膝外缘，直上结聚于髋关节，向上沿胁肋属连于脊柱。其直行者，向上沿伏兔，结聚于膝。其支脉，结聚于外辅骨，合于足少阳经。其直行者，向上沿伏兔，上结聚于大腿，聚于阴器，上腹而分布，至缺盆而结聚，上颈，上挟口，合于足太阳经，太阳经为目上睑纲维，阳明经为目下睑纲维。其支脉，从颊部结聚于耳前。其病表现为足中趾支撑胫部转筋，脚跳动感坚硬，伏兔处转筋，大腿前部肿胀，疝气，腹部筋脉紧急，牵引缺盆及颊部，突然口眼歪斜，急者眼睛不能闭合，热则筋脉弛纵，眼睛不能睁开。颊筋有寒，则紧急牵引颊部移动口角；有热则筋脉弛纵松弛，收摄不住所以歪斜。治疗用马膏，涂敷于紧急的一侧，用白酒调和桂枝，涂敷于弛缓的一侧，用桑木钩钩住弛缓的一侧，并将生桑灰放在坑中，高度与坐姿相等，用马膏熨烫紧急的颊部，同时饮用美酒，吃烤熟的肉，不饮酒的人，也要勉强自己这样做，做三次抚摸即可。治疗用燔针劫刺，以见效为度，以痛点为腧穴，名叫季春痹。足太阴经筋，起于大趾末端内侧，向上结聚于内踝。其直行者，联络于膝内辅骨，向上沿大腿内侧，结聚于大腿，聚于阴器，上腹结聚于脐，沿腹里结聚于肋骨，散布于胸中。其内部者，附着于脊柱。其病表现为足大趾支撑内踝痛，转筋痛，膝内辅骨痛，大腿内侧牵引大腿痛，阴器牵拉痛，上引脐部及两胁痛，牵引胸部中间及脊内痛。治疗用燔针劫刺，以见效为度，以痛点为腧穴，名叫孟秋痹。足少阴经筋，起于小趾之下，并足太阴经筋，斜向内踝之下，结聚于脚跟，与足太阳经筋相合，而上结聚于内辅骨之下，并足太阳经筋，而上沿大腿内侧，结聚于阴器，沿脊柱内夹脊旁肌肉，上至项部，结聚于枕骨，与足太阳经筋相合。其病表现为足下转筋，以及所经过和结聚的地方都痛且转筋，病在此处的主要表现为癫痫抽搐及痉病，在外的不能俯身，在内的不能仰身。所以阳病者腰部反折不能俯身，阴病者不能仰身。治疗用燔针劫刺，以见效为度，以痛点为腧穴。在内侧的，用熨法引导并服药。此筋发生扭转，扭转发作次数多的，死不治，名叫仲秋痹。足厥阴经筋，起于大趾之上，向上结聚于内踝之前，向上沿小腿，向上结聚于内辅骨之下，向上沿大腿内侧，结聚于阴器，联络诸筋。其病表现为足大趾支撑内踝之前痛，内辅骨痛，大腿内侧痛转筋，阴器不能运用，伤于内则勃起功能障碍，伤于寒则阴囊收缩，伤于热则弛纵挺长不收。治疗用利水清阴气的方法。其病转筋的，治疗用燔针劫刺，以见效为度，以痛点为腧穴，名叫季秋痹。手太阳经筋，起于小指之上，结聚于腕部，向上沿臂内侧廉，结聚于肘内锐骨之后，弹之应感到小指之上，入结聚于腋下。其支脉，向后走腋后缘，向上绕肩胛，沿颈部出走足太阳经之前，结聚于耳后完骨。其支脉，入耳中。直行者，出耳上，向下结聚于下颌，上属于目外眦。其病表现为小指支撑肘内锐骨后缘痛，沿臂阴入腋下，腋下痛，腋后缘痛，绕肩胛牵引颈部痛，应耳中鸣痛牵引下颌，眼睛昏花良久才能视物，颈筋紧急则为筋痹颈肿。寒热在颈部的，治疗用燔针劫刺，以见效为度，以痛点为腧穴。如果形成肿块，再用锐针刺破。本支脉，上曲牙，沿耳前，属于目外眦，上至下颌结聚于额角。其痛在所经过的地方支撑转筋。治疗用燔针劫刺，以见效为度，以痛点为腧穴，名叫仲夏痹。手少阳经筋，起于第二指端，结聚于腕部，向上沿臂结聚于肘部，向上绕肘外缘，上肩走颈，合于手太阳经。其支脉，当曲颊入系舌根。其支脉，上曲牙，沿耳前，属于目外眦，上乘下颌结聚于额角。其病在所经过的地方即支撑转筋，舌卷缩。治疗用燔针劫刺，以见效为度，以痛点为腧穴，名叫季夏痹。手阳明经筋，起于食指端，结聚于腕部，向上沿臂，上结聚于肘外，上结聚于肩峰。其支脉，绕肩胛挟脊，直行者从肩井上颈。其支脉，上颊结聚于颧骨。直行者，上出手太阳经之前，上左角，络头，下右下颌。其病在所经过的地方支撑痛及转筋，肩部不能举，颈部不能左右视。治疗用燔针劫刺，以见效为度，以痛点为腧穴，名叫孟夏痹。手太阴经筋，起于大指之上，循指上行，结聚于鱼际后，行寸口外侧，向上沿臂，结聚于肘中，上内侧廉，入腋下，出缺盆，结聚于肩前，上结聚于缺盆，下结聚于胸里，散布贯膈，合于膈下，抵季胁。其病在所经过的地方支撑转筋，痛甚成息贲，胁急吐血。治疗用燔针劫刺，以见效为度，以痛点为腧穴，名叫仲冬痹。手心主经筋，起于中指，与手太阴经筋并行，结聚于肘内廉，上臂阴，结聚于腋下，下散布前后挟胁。其支脉，入腋下散布胸中，结聚于膻中。其病在所经过的地方支撑转筋，前及胸痛息贲。治疗用燔针劫刺，以见效为度，以痛点为腧穴，名叫孟冬痹。手少阴经筋，起于小指内侧，结聚于锐骨，上结聚于肘内廉，上入腋下，交于手太阴，挟乳里，结聚于胸中，沿臂，下系于脐。其病表现为内急，心下有伏梁，下为肘网。其病在所经过的地方支撑转筋，筋痛。治疗用燔针劫刺，以见效为度，以痛点为腧穴。如果形成伏梁唾血脓的，死不治。经筋的病，寒则反折筋急，热则筋弛纵不收，阳痿不用，阳急则反折，阴急则俯不伸。燔针，是刺寒急的。热则筋纵不收，不要用燔针。名叫季冬痹。足阳明经和手太阳经，筋急则口眼歪斜，面部紧急不能卒然视物，治疗都像上述方法一样。形体安逸但精神痛苦，病生于筋，治疗用熨法和导引。诸筋病都归属于节。《内经》说：诸筋，都归属于节。又说：手屈而不伸的，病在筋，就是这个意思。肝脏主管诸筋。《内经》说：肝主筋。又说：在脏为肝，在体为筋。又说：酸味生肝，肝生筋，筋生心，就是这个意思。筋病忌风，忌食酸辛，忌久行。《内经》说：风伤筋，燥胜风，酸伤筋，辛胜酸。又说：酸走筋，筋病不要多吃酸。又说：多吃辛则筋急而指甲枯槁。又说：久行伤筋，就是这个意思。
Yang governs the four limbs. The Classics state: "The four limbs are the root of all Yang meridians." It is also stated: "Yang Qi receives its nourishment in the four limbs." When Yang is excessive, the limbs swell. The Classics state: "When Yang Qi knots, swelling occurs in the four limbs." When Yang is deficient, the limbs feel full or distended. The Classics state: "In winter, Qi fills the four limbs." The Spleen governs the four limbs. The Classics state: "The four limbs receive Qi from the Stomach, but this Qi cannot reach the meridians directly; it must be transmitted by the Spleen to be distributed." When the Spleen is excessive, the limbs cannot move. The Classics state: "If the Spleen pulse is excessive, it causes disease, manifesting externally as an inability to move the limbs." When the Spleen is deficient, the limbs cannot function. The Classics state: "The Spleen corresponds to muscle; if the physical form is deficient, the limbs cannot function." It is also stated: "Lassitude and inertia of the four limbs indicate that Spleen Jing (Essence) is not circulating." Treatment is discussed under Wei Syndrome (Flaccidity Syndrome) and Stroke. Pathogenic factors in the five Zang organs remain in the collateral joints. The Classics state: "If the Lung and Heart have pathogenic factors, their Qi remains in the two elbows; if the Liver has pathogenic factors, their Qi remains in the two thighs; if the Spleen has pathogenic factors, their Qi remains in the two hips; if the Kidney has pathogenic factors, their Qi remains in the two knees." Treatment is discussed under Painful Bi Syndrome. According to the Theory of Six Qi, inability to move the limbs belongs to Dampness. The Classics state: "Excessive Earth is called Dunfu (Piled High). In the era of Dunfu, diseases manifest as abdominal fullness and inability to move the limbs."
The *Lingshu* chapter on Jing-Jin (Sinew Meridians) states: The Foot-Taiyang Sinew Meridian originates at the little toe, ascends to knot at the ankle, slants upward to knot at the knee. Its descending branch follows the lateral aspect of the foot to knot at the heel, ascends along the Achilles tendon, and knots at the popliteal fossa. Another branch knots at the lateral side of the popliteal fossa, ascends along the medial aspect of the popliteal fossa, runs parallel with the main trunk, and knots at the buttock, ascending along the spine to the nape. A collateral branch enters and knots at the base of the tongue. The straight branch knots at the occiput, goes up the head, descends to the face, and knots at the nose. Another branch serves as the upper eyelid retractor, descending to knot at the infraorbital region. Another branch arises from the posterior-lateral axilla, knots at the shoulder joint. Another branch enters the axilla, emerges at the supraclavicular fossa, and knots at the mastoid process. Another branch emerges from the supraclavicular fossa, slants upward to the temporal region. Symptoms include pain and swelling supporting the little toe and heel, spasm of the popliteal fossa, opisthotonos, neck stiffness, inability to raise the shoulder, pulling pain in the axilla and supraclavicular fossa preventing left-right rotation. Treatment involves burning needle puncture (Cao Ci), using clinical response as the indicator and pain points as Shu points. This is named Zhongchun Bi (Mid-Spring Bi Syndrome). The Foot-Shaoyang Sinew Meridian originates at the second toe, ascends to knot at the lateral malleolus, follows the lateral aspect of the lower leg, and knots at the lateral aspect of the knee. A branch arises separately from the fibula, ascends to the thigh, anteriorly knotting above the Rectus Femoris, and posteriorly knotting at the sacrum. The straight branch ascends to the costal margin, moves to the anterior axillary line, ties to the chest and breast, and knots at the supraclavicular fossa. The straight branch emerges from the axilla, passes through the supraclavicular fossa, emerges anterior to the Foot-Taiyang meridian, follows behind the ear, ascends to the frontal angle, crosses the vertex, descends to the mandible, and knots at the lateral canthus. A branch knots at the lateral canthus as the outer维系 (Wei). Symptoms include pain and spasmodic contraction supporting the second toe,牵引 (pulling) to lateral knee spasms, inability to flex or extend the knee, popliteal stiffness, anterior pulling to the thigh, posterior pulling to the sacrum, pain at the costal margin, and upward pulling to the supraclavicular fossa, chest, breast, and neck. If the lesion moves from left to right, the right eye cannot open; it passes over the right corner, travels with the Qiao vessels, and connects left to right. Thus, injury to the left corner renders the right foot non-functional. This is named Weijin Xiangjiao (Cross-Connection of Wei Jin). Treatment involves burning needle puncture, using clinical response as the indicator and pain points as Shu points. This is named Mengchun Bi (Early Spring Bi Syndrome). The Foot-Yangming Sinew Meridian originates at the middle three toes, knots at the dorsum of the foot, slants outward to add to the fibular head, ascends to knot at the lateral aspect of the knee, and straightly ascends to knot at the hip joint, following the ribs to attach to the spine. The straight branch ascends along the Rectus Femoris and knots at the knee. A branch knots at the lateral fibular head, merging with the Foot-Shaoyang. The straight branch ascends along the Rectus Femoris, knots at the thigh, gathers at the genitalia, distributes over the abdomen, knots at the supraclavicular fossa, ascends to the neck, flanks the mouth, and merges with the Foot-Taiyang meridian (which governs the upper eyelid); the Yangming meridian governs the lower eyelid. A branch knots at the preauricular area from the cheek. Symptoms include pain and spasmodic contraction supporting the middle toe and shin, jumping hardness of the foot, spasms in the Rectus Femoris, swelling of the anterior thigh, hernia, abdominal muscle tension pulling to the supraclavicular fossa and cheek, sudden facial deviation. In acute cases, eyes cannot close; in heat cases, muscles relax and eyes cannot open. Cold in the cheek muscles causes tightness pulling the mouth; heat causes relaxation and inability to control deviation. Treatment uses horse fat plaster applied to the tight side, and white wine mixed with Cinnamon Twig applied to the relaxed side. Use a mulberry wood hook for the relaxed side, place raw mulberry ash in a pit level with the sitting height, and apply hot compresses with the plaster to the tight cheek. Drink fine wine and eat roasted meat. Do this three times while massaging. Treatment also involves burning needle puncture, using clinical response as the indicator and pain points as Shu points. This is named Jichun Bi (Late Spring Bi Syndrome). The Foot-Taiyin Sinew Meridian originates at the medial end of the great toe, ascends to knot at the medial malleolus. The straight branch connects to the medial condyle of the tibia, ascends along the medial thigh, knots at the thigh, gathers at the genitalia, ascends to the abdomen and knots at the umbilicus, follows the interior of the abdomen to knot at the ribs, and scatters in the chest. The internal branch attaches to the spine. Symptoms include pain supporting the great toe and medial malleolus, spasmodic pain, pain at the medial tibial condyle, pain pulling from the medial thigh to the hip, pulling pain at the genitalia, upward pulling to the umbilicus and hypochondrium, and pain in the chest and spine. Treatment involves burning needle puncture, using clinical response as the indicator and pain points as Shu points. This is named Mengqiu Bi (Early Autumn Bi Syndrome). The Foot-Shaoyin Sinew Meridian originates below the little toe, running with the Foot-Taiyin sinew, slanting to the inferior medial malleolus, knotting at the heel, combining with the Foot-Taiyang sinew, and ascending to knot below the medial tibial condyle. Running with the Foot-Taiyang sinew, it ascends along the medial thigh, knots at the genitalia, follows the interior of the spine alongside the erector spinae, ascends to the nape, knots at the occiput, and combines with the Foot-Taiyang sinew. Symptoms include plantar spasms, pain and spasms at all sites of origin and knotting. Disease here primarily manifests as epilepsy, convulsions, and tetany. External involvement prevents bending forward; internal involvement prevents leaning back. Yang disease causes opisthotonos preventing bending; Yin disease prevents extending backward. Treatment involves burning needle puncture, using clinical response as the indicator and pain points as Shu points. For internal involvement, use moxibustion/heat therapy, guidance exercises, and herbal medicine. If the sinew undergoes severe twisting and frequent attacks, death is inevitable. This is named Zhongqiu Bi (Mid-Autumn Bi Syndrome). The Foot-Jueyin Sinew Meridian originates above the great toe, ascends to knot anterior to the medial malleolus, follows the lower leg, knots below the medial tibial condyle, ascends along the medial thigh, knots at the genitalia, and links all sinews. Symptoms include pain supporting the great toe and anterior medial malleolus, pain at the medial condyle, thigh pain with spasms, genital dysfunction. Injury internally leads to impotence; injury to cold causes retraction; injury to heat causes flaccidity and protrusion without retraction. Treatment involves draining water and clearing Yin Qi. For spasms, treatment involves burning needle puncture, using clinical response as the indicator and pain points as Shu points. This is named Jiqiu Bi (Late Autumn Bi Syndrome). The Hand-Taiyang Sinew Meridian originates above the little finger, knots at the wrist, follows the medial arm, knots posterior to the medial epicondyle (where tapping elicits sensation in the little finger), and enters to knot in the axilla. A branch goes posteriorly along the axillary border, winds around the scapula, follows the neck to emerge anterior to the Foot-Taiyang meridian, and knots at the mastoid process behind the ear. A branch enters the ear. The straight branch emerges above the ear, descends to knot at the mandible, and ascends to connect to the lateral canthus. Symptoms include pain supporting the little finger and posterior medial elbow border, pain entering the axilla, pain in the axilla and posterior axillary border, pain winding around the scapula and pulling to the neck, tinnitus and pain pulling to the mandible, temporary blindness, and neck stiffness causing neck swelling. For cold-heat in the neck, treatment involves burning needle puncture, using clinical response as the indicator and pain points as Shu points. For swelling, use sharp needles repeatedly. The main branch ascends to the zygomatic arch, follows the ear anteriorly, connects to the lateral canthus, ascends to the mandible, and knots at the frontal angle. Pain at these sites causes spasmodic contraction. Treatment involves burning needle puncture, using clinical response as the indicator and pain points as Shu points. This is named Zhongxia Bi (Mid-Summer Bi Syndrome). The Hand-Shaoyang Sinew Meridian originates at the tip of the second finger, knots at the wrist, follows the arm to knot at the elbow, winds around the lateral elbow, ascends to the shoulder and neck, merging with the Hand-Taiyang. A branch enters the tongue base at the angle of the jaw. Another branch ascends to the zygomatic arch, follows the ear anteriorly, connects to the lateral canthus, and ascends to the mandible to knot at the frontal angle. Symptoms include spasmodic contraction at sites of passage and tongue retraction. Treatment involves burning needle puncture, using clinical response as the indicator and pain points as Shu points. This is named Jixia Bi (Late Summer Bi Syndrome). The Hand-Yangming Sinew Meridian originates at the index finger, knots at the wrist, follows the arm, knots at the lateral elbow, ascends to knot at the acromion. A branch winds around the scapula and flanks the spine; the straight branch goes from the shoulder well to the neck. A branch ascends to the cheek and knots at the zygoma. The straight branch emerges anterior to the Hand-Taiyang meridian, ascends to the left corner, networks the head, and descends to the right mandible. Symptoms include pain and spasmodic contraction at sites of passage, inability to raise the shoulder, and inability to rotate the head left or right. Treatment involves burning needle puncture, using clinical response as the indicator and pain points as Shu points. This is named Mengxia Bi (Early Summer Bi Syndrome). The Hand-Taiyin Sinew Meridian originates above the great finger, follows the finger upward, knots posterior to the thenar eminence, runs along the lateral aspect of the Cun Kou pulse, ascends the arm, knots at the elbow, follows the medial arm, enters the axilla, emerges at the supraclavicular fossa, knots at the anterior shoulder, ascends to knot at the supraclavicular fossa, descends to knot in the chest interior, scatters across the diaphragm, merges below the diaphragm, and reaches the costal margin. Symptoms include spasmodic contraction and pain at sites of passage; severe pain leads to Xi Ben (Breath-Restless Accumulation), rib stiffness, and hemoptysis. Treatment involves burning needle puncture, using clinical response as the indicator and pain points as Shu points. This is named Zhongdong Bi (Mid-Winter Bi Syndrome). The Hand-Jueyin (Pericardium) Sinew Meridian originates at the middle finger, runs parallel with the Hand-Taiyin, knots at the medial elbow, ascends the medial arm, knots in the axilla, and scatters anteriorly and posteriorly flanking the ribs. A branch enters the axilla, scatters in the chest, and knots at the Danzhong (Conception Vessel 17). Symptoms include spasmodic contraction and pain at sites of passage, anterior chest pain, and Xi Ben. Treatment involves burning needle puncture, using clinical response as the indicator and pain points as Shu points. This is named Mengdong Bi (Early Winter Bi Syndrome). The Hand-Shaoyin Sinew Meridian originates at the medial little finger, knots at the pisiform, ascends to knot at the medial elbow, enters the axilla, crosses the Hand-Taiyin, flanks the inner breast, knots in the chest, follows the arm, and descends to tie at the umbilicus. Symptoms include internal urgency, Fu Liang (Hidden Beam) beneath the heart, and "Elbow Net" below. Spasmodic contraction and pain occur at sites of passage. Treatment involves burning needle puncture, using clinical response as the indicator and pain points as Shu points. If Fu Liang with hematemesis and pus forms, death is inevitable. Diseases of the Sinew Meridians: Cold causes opisthotonos and tendon stiffness; Heat causes flaccidity and inability to retract, impotence, and limb paralysis. Yang stiffness causes opisthotonos; Yin stiffness prevents bending forward. Burning needles treat cold-induced stiffness. Heat causes flaccidity and should not be treated with burning needles. This is named Jidong Bi (Late Winter Bi Syndrome). For the Foot-Yangming and Hand-Taiyang, tendon stiffness causes facial deviation and inability to look suddenly. Treatment is as described above. Those whose bodies are comfortable but minds are distressed suffer from tendon diseases, treated with heat therapy and Dao Yin (guiding and pulling). All tendon diseases belong to the joints. The Classics state: "All tendons belong to the joints." It is also stated: "Flexion without extension of the hand indicates disease in the tendons." The Liver governs all tendons. The Classics state: "The Liver governs the tendons." It is also stated: "In the Zang organs it is the Liver; in the body tissues it is the tendons." It is also stated: "Sour flavor generates the Liver; the Liver generates the tendons; the tendrons generate the Heart." Tendon diseases contraindicate wind, sour and pungent foods, and prolonged walking. The Classics state: "Wind injures tendons; Dryness overcomes Wind; Sour injures tendons; Pungent overcomes Sour." It is also stated: "Sour enters the tendons; those with tendon diseases should not consume much sour." It is also stated: "Excessive consumption of pungent flavors causes tendon stiffness and brittle nails." It is also stated: "Prolonged walking injures the tendons."